Individual
BARRY G. MAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840A S AMERICAN ST, PHILA, PA 19147-3331
(484) 683-1746
Mailing address
840A S. AMERICAN ST., PHILA., PA 19147
(484) 683-1746
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD059830L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD059830L
PA LICENSE NUMBER
PA
Enumeration date
12/08/2011
Last updated
12/08/2011
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